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Goal:

  • To assess a clinical issue that is the focus of your Quality Improvement Project.
  • Create a description of the clinical issue to be addressed in the project.

Content Requirements:

  1. Identify the clinical issue that will be the focus of your Quality Improvement project.
  2. Provide rationale for the need to change the status quo.
  3. Identify best practices from the literature related to the issues.

 

Submission Instructions:

· The paper is to be clear and concise, and students will lose points for improper grammar, punctuation and misspelling.

· The paper is to be 2 – 3 pages in length, excluding the title, abstract and references page.

· Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

· Journal articles and books should be referenced according to current APA style (the library has a copy of the APA Manual).

· Your paper should be formatted per current APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions)

· Complete and submit the assignment by 11:59 PM ET on Sunday.

· Note: this is first part of your Quality Improvement Project. You should revise/improve your work based on your professor’s feedback. In module 7, you will be putting all the parts together to complete and submit your final project.  

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Clinical Issue

09/02/2021

Clinical issues that will be the focus of quality improvement project

The Quality improvement projects will focus on healthcare associated infections which refer to the infection acquired by patients as they receive health care services. They may occur as a result of surgical or medical condition. As the current health care professionals employ numerous type invasive devices as well as procedures to help and treat patients, infections resulting from the procedures or devices used such as ventilators or catheters among others. Some of the most common Healthcare associated infections include surgical site infections, pneumonia, bloodstream infections, clostridium difficile, and Cather-associated urinary tract infections/.

Rationale for the need to change

Healthcare associated infections need to be addressed because they are associated with significant causes of mortality and morbidities in the US. They are also accompanied by increased cost of health care every year. According to Office of Disease Prevention and Health Promotion (2020), one out of 25 patients who are hospitalized in the USA is affected by healthcare associated infections. Healthcare associated infections can occur in any health care setting such as acute care hospital, dialysis facilities, ambulatory surgical site infections, outpatient care or long-term care facilities.

Healthcare associated infections can cause complications in the continuum of care since they can also be transmitted between different health care facilities. The risk factors of healthcare associated infections can be classified into three groups that are antibiotics use and medical procedures, patient characteristics, and organization factors (Haque, Sartelli, & Bakar, 2018). Health care providers’ behavior and the way they interact with health care system influence the rate of infections.

Best practices related to the issue

Studies suggest that the implementation of existing prevention practices will result to reduction of 70 percent cases of healthcare associated infections. Modeling data have also suggested that a substantial reduction of resistant bacteria such as MRSA can be attained through the coordination of activities between healthcare facilities in a particular region. As a result, effective prevention of healthcare associated infections will lead to financial benefits that are estimated to be between $25 billion and $31.5 billion saving of medical cost.

Health care facilities should also conduct proper training and education of health care workers with the aim of increasing compliance and adoption of best health care practice to prevent Healthcare associated Infections. The best healthcare practices that a health care provider should embrace include careful insertions, prompt removal of catheters, careful antibiotics used and maintenance of medical devices. They should also ensure decolonization of patient using evidence-based methods so that they can minimize cares of MRSA transmission in healthcare facilities. Healthcare providers should also be trained on best practices that will help in reducing healthcare associated Infections. They should be encouraged to adopt and maintain hand hygiene, infections control, antibiotics stewardships, as well as attention to safety culture.

The government has also been committed to reduce healthcare associated infections through policy formulation. The Health and Human Services Department in the US formed a steering committee that focuses on prevention of healthcare associated infection which was published in 2008 (Center of Disease Control and Prevention, 2018). The committee in collaboration with programs official and scientist developed the HHS Action Plan for Preventing of Healthcare Associated Infections. The Department of Health and Human Service has been having recognized reduction of healthcare associated infection; hence it is the Agency’s priority Goals.

References

Center of Disease Control and Prevention. (2018, November 13). Healthcare-associated Infections. Retrieved September 2, 2021, from Center of Disease Control and Prevention: https://www.cdc.gov/hai/prevent/prevention.html

Haque, M., Sartelli, M., & Bakar, M. (2018). Health care-associated infections – an overview. Infection and Drug Resistance 11(1), 2321-2333.

Office of Disease Prevention and Health Promotion. (2020). Healthcare Associated Infections . Retrieved September 2, 2021, from Office of Disease Prevention and Health Promotion: https://www.healthypeople.gov/2020/topics-objectives/topic/healthcare-associated-infections

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